PROMISE SKILLED NURSING FACILITY OF WICHITA FALLS INC. (NPI# 1851722359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851722359 |
| Entity Type | Organization |
| Organization Name | PROMISE SKILLED NURSING FACILITY OF WICHITA FALLS INC. |
| Practice Address |
1101 Grace St Wichita Falls TX 76301-4414 |
| Mailing Address |
999 Yamato Rd 3rd Floor Boca Raton FL 33431-4477 |
| Practice Telephone | 9407206633 |
| Mailing Telephone | 5618693100 |
| Mailing Fax Number | 5618260171 |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2018-03-01 |
| Authorized Official Name | MR. JAMES HOPWOOD (CFO) |
| Authorized Official Telephone | 5618693100 |
| Is Organization Subpart | Y |
| Parent Organization Name | PROMISE HEALTHCARE #2 INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Street Address |
1101 GRACE ST |
| City | WICHITA FALLS |
| State | TX |
| Zip Code | 76301-4414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780771964 | Thi of Texas At Grace Care Center, LLC | Skilled Nursing Facility | 1101 Grace St, Wichita Falls, TX 76301-4414 | 2006-10-07 |
| 1649834185 | Kpc Promise Skilled Nursing Facility of Wichita Falls LLC | Skilled Nursing Facility | 1101 Grace St, Wichita Falls, TX 76301-4414 | 2019-04-30 |
| 1629532130 | Sidney Espina | Physical Therapist | 1101 Grace St, Wichita Falls, TX 76301-4414 | 2019-01-29 |
| 1104007871 | Laurie Welch | Speech-Language Pathologist | 1101 Grace St, Wichita Falls, TX 76301-4414 | 2007-11-21 |
| 1801084611 | Gerald Tanner | Physical Therapy Assistant | 1101 Grace St, Wichita Falls, TX 76301-4414 | 2007-10-05 |
| 1609087378 | John J Stubler | Occupational Therapy Assistant | 1101 Grace St, Wichita Falls, TX 76301-4414 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679192991 | Rebecca Ashley Marin | Licensed Vocational Nurse | 909 8th Sreet, Ste 100, Wichita Falls, TX 76301 | 2020-04-16 |
| 1164077558 | Melissa Ann Marshall | Registered Nurse | 1717 Lucile Ave, Wichita Falls, TX 76301 | 2019-08-02 |
| 1841760659 | Edward Scott Hamilton | Psychologist | 710 Lamar St., Wichita Falls, TX 76301 | 2018-12-05 |
| 1457872681 | Jennyfer A Rosado | Counselor | 719 Scott Ave Ste 610, Wichita Falls, TX 76301 | 2017-06-28 |
| 1023547676 | Cale David Lennard | Dentist | 2405 9th St Ste A, Wichita Falls, TX 76301 | 2017-06-07 |
| 1790198455 | Tongle Yu | Family Medicine | 1301 Third St, Suite 200, Wichita Falls, TX 76301 | 2014-06-10 |
| 1821412081 | Jennifer Burbage | Nurse Practitioner | 1700 3rd Street, Wichita Falls, TX 76301 | 2014-02-09 |
| 1275871568 | Jeffrey John Papak | Pharmacy Technician | 1610 9th Street, Wichita Falls, TX 76301 | 2013-01-22 |
| 1679826853 | Cheryl Denise Williams | Clinical Nurse Specialist | 1605 10th Street, Wichita Falls, TX 76301 | 2012-10-24 |
| 1902199250 | Tilahun Worku Belay | Internal Medicine | 1631 11th St Unit B, Wichita Falls, TX 76301 | 2011-05-19 |
| Find all providers in zip 76301 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295229029 | Wichita Falls Snf LLC | Skilled Nursing Facility | 4810 Kemp Boulevard, Wichita Falls, TX 76308 | 2018-06-15 |
| 1053710376 | Baylor County Hospital District | Skilled Nursing Facility | 4810 Kemp Blvd, Wichita Falls, TX 76308 | 2014-08-22 |
| 1174719066 | Jennifer Joerres | Skilled Nursing Facility | 3908 Kell Blvd, Wichita Falls, TX 76309-4936 | 2007-09-24 |
| 1407040041 | Wichita Falls Care Center | Skilled Nursing Facility | 1401 7th Street, Wichita Falls, TX 76301 | 2007-08-28 |
| 1295934354 | Mccaskill Health Care, LLC | Skilled Nursing Facility | 1501 7th St, Wichita Falls, TX 76301-3103 | 2007-07-17 |
| 1154546836 | Nocona Hospital District | Skilled Nursing Facility | 910 Midwestern Pkwy, Wichita Falls, TX 76302-2210 | 2007-04-16 |
| 1780771964 | Thi of Texas At Grace Care Center, LLC | Skilled Nursing Facility | 1101 Grace St, Wichita Falls, TX 76301-4414 | 2006-10-07 |
| 1598726358 | Decatur Hospital Authority | Skilled Nursing Facility | 601 Midwestern Pkwy E, Wichita Falls, TX 76302-2401 | 2006-03-31 |
| 1396732939 | Olney-hamilton Hospital District | Skilled Nursing Facility | 300 Loop 11, Wichita Falls, TX 76306-3705 | 2005-09-29 |
| 1992791776 | University Park Nursing and Rehabilitation Lp | Skilled Nursing Facility | 4511 Coronado Ave, Wichita Falls, TX 76310-2409 | 2005-09-27 |
| Find all providers in WICHITA FALLS | ||||
| City | WICHITA FALLS |
| Zip Code | 76301 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.